NMC CBT Preparation Book PDF 2026 (Free Download)

What is in the NMC CBT book

Each model paper carries the same number of MCQs per subject as the real NMC CBT paper, so sitting it is a rehearsal of the real thing, not a random worksheet.

Sample MCQs from the NMC CBT book

The first 10 questions of model paper 1.

1. Medical Surgical Nursing

   1. A patient has prolonged bed rest after a femoral fracture. The feet are resting in plantar flexion, and the patient has no restriction on ankle movement. Which intervention should the nurse use to help prevent foot drop?

   • A. Place a footboard at the end of the bed and encourage ankle dorsiflexion
   • B. Keep the affected foot pointed downward with a pillow under the heel
   • C. Limit ankle movement until the fracture is completely united
   • D. Place a pillow under the calf so the toes remain lower than the heel
   Show answer

   Answer: A, Place a footboard at the end of the bed and encourage ankle dorsiflexion. See the explanation

2. Nursing Pharmacology

   2. A patient taking warfarin has a very high INR but no active bleeding. Which medicine reverses the anticoagulant effect over several hours?

   • A. Vitamin K
   • B. Protamine sulfate
   • C. Naloxone
   • D. Desmopressin
   Show answer

   Answer: A, Vitamin K. See the explanation

3. Fundamentals of Nursing

   3. A nurse assesses a patient who has constipation. Which finding most strongly suggests faecal impaction?

   • A. A small amount of liquid stool leaking around hard stool
   • B. Soft formed stool passed every morning
   • C. Mild abdominal sounds after eating a meal
   • D. One day without a bowel movement in an adult
   Show answer

   Answer: A, A small amount of liquid stool leaking around hard stool. See the explanation

4. International Nursing Practice

   4. In the UK, a 9-year-old tells a nurse that a parent hits them at home and asks the nurse not to tell anyone. What should the nurse do first?

   • A. Promise to keep the disclosure completely confidential
   • B. Listen calmly, explain that the concern must be shared, and report it
   • C. Ask the child to provide detailed proof before reporting it
   • D. Contact the parent immediately to discuss the allegation
   Show answer

   Answer: B, Listen calmly, explain that the concern must be shared, and report it. See the explanation

5. Mental Health Nursing

   5. A urine test is positive for cannabis in a patient who says the last use was several days ago. Which interpretation is correct?

   • A. The result proves current impairment
   • B. The result confirms cannabis exposure but not current impairment
   • C. The result proves the patient used cannabis in the hospital
   • D. The result confirms a cannabis overdose
   Show answer

   Answer: B, The result confirms cannabis exposure but not current impairment. See the explanation

6. Paediatric Nursing

   6. A mother asks how to recognise that her newborn is ready to breastfeed. Which behaviour is an early feeding cue?

   • A. Crying loudly for several minutes
   • B. Turning away from the breast
   • C. Rooting and bringing hands to the mouth
   • D. Sleeping deeply after missing a feed
   Show answer

   Answer: C, Rooting and bringing hands to the mouth. See the explanation

7. Community Health Nursing

   7. Which household practice best prevents recontamination of treated drinking water?

   • A. Store it in a covered container with a narrow opening
   • B. Keep it in an uncovered bucket for easy access
   • C. Pour it into a wide bowl before each use
   • D. Add more chlorine whenever the water looks cloudy
   Show answer

   Answer: A, Store it in a covered container with a narrow opening. See the explanation

8. Midwifery and Obstetric Nursing

   8. Which discharge instruction best reduces the risk of sudden unexpected infant death?

   • A. Place the newborn prone after feeding
   • B. Use a firm, flat sleeping surface with the newborn supine
   • C. Add pillows around the newborn for support
   • D. Cover the newborn's face during cold weather
   Show answer

   Answer: B, Use a firm, flat sleeping surface with the newborn supine. See the explanation

9. Medical Surgical Nursing

   9. A patient with nephrotic syndrome is being monitored for complications. Which finding should the nurse report promptly?

   • A. Mild ankle edema in the evening
   • B. Sudden shortness of breath and chest pain
   • C. Foamy urine after waking
   • D. A gradual increase in appetite
   Show answer

   Answer: B, Sudden shortness of breath and chest pain. See the explanation

10. Nursing Pharmacology

    10. A patient taking acarbose asks why the medicine is taken with the first bite of each meal. Which explanation is correct?

    • A. It delays intestinal carbohydrate digestion
    • B. It stimulates insulin release during fasting
    • C. It replaces the body's missing thyroid hormone
    • D. It prevents glucose formation in the liver
    Show answer

    Answer: A, It delays intestinal carbohydrate digestion. See the explanation

Practise NMC CBT online, free

A PDF cannot time you or tell you which chapter is costing you marks. Every NMC CBT subject can be practised free on TestUstad, chapter by chapter, with each answer marked as you go.